| Livingston Medical, Pllc | |
|
2324 Old Denton Rd Ste 100 Carrollton TX 75006-1440 | |
| (972) 245-0028 | |
| (972) 245-0029 |
| Full Name | Livingston Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2324 Old Denton Rd Ste 100, Carrollton, Texas |
| Authorized Official Name and Position | Sheldon K Cho (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9722450028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Medical, Pllc 3620 W Pioneer Dr Suite 107 Irving TX 75061-1545 Ph: (972) 870-0028 | Livingston Medical, Pllc 2324 Old Denton Rd Ste 100 Carrollton TX 75006-1440 Ph: (972) 245-0028 |
| NPI Number | 1225440092 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 1951520204 |
|---|---|
| Medicare Enrollment ID | O20140918000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225440092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yong D Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194833079 PECOS PAC ID: 4183694821 Enrollment ID: I20040729000410 |
| Provider Name | Min Kyung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609233287 PECOS PAC ID: 6305137373 Enrollment ID: I20160622000998 |
| Provider Name | Yun H Baek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952820227 PECOS PAC ID: 7012270069 Enrollment ID: I20180404002426 |
| Provider Name | Eunyoung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699262337 PECOS PAC ID: 7618231036 Enrollment ID: I20180510000460 |
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